1.Easy
Which herbal product is commonly taken for sleep and can add to the effect of sedatives?
- AGinger
- BPeppermint
- CCranberry
- DValerian
2.Easy
Which drug can be used in beta blocker overdose because it raises heart rate through a non-adrenergic pathway?
- AFlumazenil
- BInsulin
- CNaloxone
- DGlucagon
3.Easy
Antibiotics are effective against:
- ABacteria
- BAll microorganisms equally
- CViruses
- DAllergic reactions
4.Medium
In which patient is bupropion contraindicated?
- AA patient with a seizure disorder or an eating disorder
- BA patient with high blood cholesterol and a family history of it
- CA patient with seasonal allergies
- DA patient who wants to stop smoking
5.Medium
A 19-year-old starts an SSRI for depression. Which is most important for the nurse to monitor during the first weeks?
- ADaily bowel movements only
- BBlood glucose before every meal and at bedtime
- CNew or worsening suicidal thoughts or agitation
- DHearing loss and tinnitus
6.Medium
During adult cardiac arrest, how often is IV adrenaline (epinephrine) usually repeated?
- AEvery 3–5 minutes
- BEvery 30 seconds
- COnce only, at the start
- DEvery 15–20 minutes
7.Hard
A patient who uses insulin is taught sick-day rules. Which statement shows a need for further teaching?
- A"If I am ill and not eating, I will stop my insulin completely."
- B"I will seek help if I keep vomiting or have ketones."
- C"I will check my blood glucose and ketones more often while I am ill."
- D"I will keep drinking fluids, even if I cannot eat much."
8.Hard
Why is sildenafil contraindicated in a patient who uses nitrates for angina?
- ASildenafil blocks the conversion of nitrates into nitric oxide in the vessels
- BNitrates block the metabolism of sildenafil in the liver
- CThe combination causes dangerous hyperkalaemia
- DBoth raise cGMP in vascular smooth muscle and can cause severe hypotension
Answer key
- 1. D · Valerian
- 2. D · Glucagon
- 3. A · Bacteria
- 4. A · A patient with a seizure disorder or an eating disorder
- 5. C · New or worsening suicidal thoughts or agitation
- 6. A · Every 3–5 minutes
- 7. A · "If I am ill and not eating, I will stop my insulin completely."
- 8. D · Both raise cGMP in vascular smooth muscle and can cause severe hypotension
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